Duty Hours
Wellness/QI
Concerns & Complaints
Policy
100

What are the ACGME duty hour regulations?

Limited to 80 hours per week 

100

What are some of the Wellness initiatives within the  program?

Wellness Workshops, Wellness Committee, Scheduled Meetings with Mentors to discuss progression, career path etc. 

100

Where is the concern/complaint/feedback form and box located?

Resident Lounge 
100

Where is the easiest place to find all the program and institutional policies? 

New Innovations 

200

How often do you need to be provided a day off?

1 day in 7 free, averaged over 4 weeks 

200

What are some of the QI initiatives you take part in?

Lean Six Sigma, Longitudinal Projects, Community Engagement, IHI Modules, being apart of Hospital Committees, QI Workshops

200

What is the reporting structure if you were to report a complaint or concern? (Who do you tell first?)

Program Coordinator, Attending/Faculty Member/Mentor, Program Director, Designated Institutional Official, Senior Leadership, ACGME

200

Where can you access all hospital policies at any time? 

Intranet

300

What is the length of a shift permitted for PGY-1 residents under ACGME duty hour standards?

16 Hours

300

How are are safety incidents reported and handled? (If a resident is involved) 

Incidents are reported through RL6 Alert System  on the intranet. The safety department reviews the incidents and forwards them to Dr. Lee for additional review and resolve 

300

How is a concern or complaint processed through the anonymous hotline? (Where does it go?)

1. Call goes to Compliant Department 

2. Message is transcribed 

3. Compliance officer sends message to appropriate reviewer 

300

What are the 3 types of supervision always available to you?

Direct Supervision, Indirect Supervision with Direct Supervision Immediately Available, Indirect Supervision with Direct Supervision Available 

400

How many hours does ACGME require a resident need to have in between duty periods? 

8 Hours 

400

How does the program mitigate fatigue and promote well-being? (Lots of answers!!)

Fatigue mitigation policy, Well-being policy, wellness workshops, psychosocial rounds, confidential means for seeking help Crisis Hotline posted in the lounge, 2+2 schedule, EAP Services - Confidential Counseling, LIFE Curriculum during Orientation

400

What is the number for the anonymous Concern & Complaint hotline? 

607-252-3999

400

How does the program ensure proper transitions of care?

Transitions of Care Policy, IPASS, Attending Supervision, Tracer Rotation

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